In the city that never sleeps, New Yorkers are all too familiar with the daily grind, both figuratively and, unfortunately, literally. The fast-paced lifestyle, high-stress jobs, and constant stimulation of NYC can lead to an epidemic of teeth grinding and jaw clenching, known medically as bruxism. But there's good news for New Yorker's seeking relief: Masseter Botox is quickly becoming the go-to solution for those looking to ease the tension and protect their smiles.

From Wall Street traders to Broadway performers, more and more New Yorkers are discovering the benefits of this innovative treatment. But what exactly is Masseter Botox, and why is it particularly suited to the unique challenges faced by NYC residents? Let's dive into how this simple procedure is helping New Yorkers face the city's demands with relaxed jaws and peaceful nights.

What is Masseter Botox?
Masseter Botox is an innovative, non-surgical treatment that targets the masseter muscle, the large muscle responsible for chewing and clenching your jaw. Here's what you need to know:

1. The Procedure: Small amounts of botulinum toxin (Botox) are precisely injected into the masseter muscles on both sides of your face.
2. How it Works: The Botox temporarily relaxes the masseter muscle, reducing its ability to contract forcefully. This minimizes teeth grinding and clenching, especially during sleep or stressful situations.
3. Beyond Cosmetics: While Botox is often associated with wrinkle reduction, its use in the masseter muscle is primarily therapeutic. However, many patients enjoy the added benefit of a slimmer, more contoured jawline as the muscle relaxes over time.
4. Quick and Convenient: Perfect for busy New Yorkers, the procedure typically takes only 10-15 minutes and can easily fit into a lunch break or between meetings.
5. Customizable Treatment: The amount of Botox used can be tailored to each individual's needs, whether you're a Wall Street executive dealing with stress-induced grinding or a Broadway performer looking to relax facial tension.

For New Yorkers battling the effects of a high-pressure lifestyle on their oral health, Masseter Botox offers a sophisticated solution that aligns with the city's demand for efficient, effective treatments.
Why New Yorkers are Particularly Prone to Teeth GrindingThe unique lifestyle of New York City creates a perfect storm of factors that contribute to teeth grinding and jaw clenching:

1. High-Stress Environment: From high-powered careers to the daily hustle of city life, stress is a constant companion for many New Yorkers. This stress often manifests physically as teeth grinding, especially during sleep.
2. The City That Never Sleeps: Irregular sleep patterns, late nights, and early mornings can disrupt your body's natural rhythm, leading to increased tension in the jaw muscles.
3. Caffeine Culture: New York's coffee shops are legendary, but that extra shot of espresso can increase muscle tension and exacerbate grinding habits.
4. Competitive Nature: The drive to succeed in NYC's competitive landscape can lead to subconscious jaw clenching during the day and grinding at night.
5. Urban Diet: Fast-paced city life often leads to quick, on-the-go meals. Chewing gum to freshen breath or consuming chewy, tough foods can overwork the masseter muscles.
6. Noise Pollution: The constant background noise of the city can cause some individuals to clench their jaw as a stress response.
7. Desk Jobs: Many NYC professionals spend long hours at desks, often leading to poor posture that can affect jaw alignment and contribute to grinding.

Understanding these NYC-specific triggers is the first step in addressing the grinding problem. Masseter Botox offers a solution tailored to the unique challenges faced by city dwellers, providing relief without disrupting your busy New York lifestyle.

Benefits of Masseter Botox
Masseter Botox offers a range of benefits that are particularly appealing to New Yorkers:

1. Stress Relief On-the-Go: In a city where time is precious, Masseter Botox provides quick relief from jaw tension without the need for time-consuming dental appointments or custom night guards.
2. Improved Sleep Quality: By reducing nighttime grinding, New Yorkers can enjoy more restful sleep, leading to increased productivity and better stress management during busy days.
3. Headache Reduction: Many NYC professionals suffer from tension headaches due to jaw clenching. Masseter Botox can significantly reduce the frequency and intensity of these headaches.
4. Preservation of Dental Work: In a city known for its world-class dentistry, protect your investment in veneers, crowns, or other dental work from the damaging effects of grinding.
5. Dual Aesthetic and Therapeutic Benefits: While primarily a therapeutic treatment, the potential slimming effect on the jawline appeals to image-conscious New Yorkers.
6. Non-Invasive Solution: Unlike surgical options, Masseter Botox requires no downtime, allowing you to return to your busy NYC life immediately after treatment.
7. Long-Lasting Results: Effects typically last  up to 6 months, making it a convenient option for New Yorkers who don't have time for frequent treatments.
8. Improved Facial Symmetry: For those in the public eye or frequently on video calls, Masseter Botox can help achieve a more balanced facial appearance.
9. Customizable to Your Lifestyle: Whether you're a finance professional dealing with daily stress or a performer needing to relax facial muscles, the treatment can be tailored to your specific needs.
10. Potential Cost Savings: By preventing damage from grinding, you may save on future dental work, which can be costly in NYC.

For New Yorkers looking to combat the effects of city-induced stress on their oral health and overall well-being, Masseter Botox offers a sophisticated, efficient solution that fits seamlessly into the fast-paced NYC lifestyle.

The Procedure

At my Manhattan practice, we've refined the Masseter Botox procedure to not only fit the demanding schedules of our NYC clients but also to provide optimal results:

1. Consultation: We'll start with a brief discussion about your grinding habits, symptoms, and goals. This is your opportunity to ask any questions and address concerns.
2. Preparation: The treatment area will be cleaned. Most clients find numbing unnecessary due to the quick nature of the injections and my gentle technique.
3. Precise Mapping: I'll carefully assess your masseter muscles and mark the injection points. 
4. Dynamic Injection: Using a very fine needle, I'll administer Botox into the predetermined points. I use a unique "clench and inject, then relax" method, which ensures precise placement for maximum effectiveness.
5. Customized Dosing: Based on my extensive experience, I typically use between 24-30 units per masseter muscle. We'll start with 24-25 units, as I've found this to be the sweet spot for most clients. Remember, under-dosing can be just as problematic as over-dosing.
6. Post-Treatment: You'll receive brief aftercare instructions, but you can immediately return to your daily activities – whether that's heading back to the office or catching a show.

The entire process typically takes 15-20 minutes, making it easy to fit into even the busiest New York schedule. You're investing in your health and comfort without sacrificing your valuable time.

Results and Aftercare: What New Yorkers Can Expect
After your Masseter Botox treatment, here's what you can anticipate:

1. Immediate Aftermath: You can return to your normal activities right away. There's no downtime, perfect for busy New Yorkers.
2. Pain Relief: You should notice a reduction in jaw pain around the 2-week mark. This can be a game-changer for those dealing with chronic tension from city stress.
3. Grinding Reduction: As the Botox takes effect, you'll likely notice a significant decrease in teeth grinding, leading to better sleep quality.
4. Aesthetic Changes: The facial slimming effect typically becomes noticeable around 4-6 weeks post-treatment. This gradual change occurs as the masseter muscle naturally atrophies from reduced use.
5. Long-Lasting Results: The effects of the treatment usually last around 6 months, making it a convenient twice-yearly appointment for most New Yorkers.
6. Follow-Up: While not always necessary, I'm always available for follow-up appointments to ensure you're happy with your results.

Aftercare is minimal, but to ensure optimal results:

• Avoid rubbing or massaging the treated area for 24 hours post-treatment.
• Stay hydrated and maintain a healthy lifestyle to support overall muscle health.
• If you use a night guard, continue to do so as advised by your dentist.

Remember, everyone's response to Botox can be slightly different. We'll work together to fine-tune your treatment plan for the best possible outcome, ensuring you can face the demands of New York life with a relaxed jaw and a confident smile.

Take the First Step Towards Jaw Relief
Ready to say goodbye to jaw tension and hello to relaxed, restful nights? Book your consultation today and take the first step towards a more comfortable, confident you.

Sarah-Kate Rems, NP | NYC Cosmetic Dermatology
Sarahkateremsnp.com
@sarahkateremsnp on Instagram

Today, I wanted to highlight my most popular (and natural!) treatments using PRP. PRP stands for Platelet-Rich Plasma and it is the process of using your own blood to promote tissue repair, healing, and stimulate cell regeneration. I love PRP treatments for clients (and myself) because it's natural, safe, and generates excellent results.

A Brief History on PRP
PRP therapy has its roots in sports medicine. For over 20 years, elite athletes such as Tom Brady and Tiger Woods have used PRP injections to speed up the healing time from various sports injuries. PRP's success in helping athletes recover faster led to its adoption in cosmetic dermatology. The same healing properties that repair sports injuries are now used to rejuvenate skin and promote hair growth.

The Process 

Blood Collection
We draw a small amount of your blood, similar to a routine blood test.

Centrifuge Process
Your blood is spun in a specialized machine called a centrifuge. This separates the platelets. a type of blood cell involved with healing and tissue repair, rich in growth factors from other blood components.

Concentration
The result is concentrated platelets in plasma (plasma is the watery part of blood).

Targeted Application
This platelet-rich solution, often referred to as "Liquid Gold" is then carefully injected into specific areas of your skin.

Regeneration
The growth factors in PRP stimulate your body to repair damaged tissue, produce new collagen and elastin, improve blood flow, and enhance overall skin quality.

Areas I Treat with PRP

I am trained and licensed by the Cellular Medicine Association (CMA), the creators of the Vampire Facial, to safely and effectively conduct PRP procedures.

Hair Restoration
Injecting PRP into the scalp helps regrow hair and prevents thinning / loss.

Under Eyes
The under eye area is very susceptible to aging due to the delicate skin here. PRP is my go-to to rejuvenate the under eye area - it is effective, safe, long lasting.

Vampire Breast Lift
Injecting into the upper breast area rejuvenates the skin here, helping it to look more youthful and tight, and can increase breast tissue for fuller looking breasts.

Nasolabial Folds or Smile Lines
​Injecting into these folds boosts collagen and elastin to this area, thickening the skin and helping to smooth out and make these lines less noticeable.

Scars
Injecting PRP into scars remodels the tissue here, lessening the appearance of the scar.

Sarah-Kate Rems, NP
NYC Cosmetic Dermatology
646-434-8315
@Sarahkateremsnp

Vitamin C is a potent antioxidant that offers a range of advantages when added to your skincare regimen. Below I highlight the many benefits of using Vitamin C serum on your skin:

1. Powerful antioxidant protection
Vitamin C is a powerful antioxidant that helps to neutralize free radicals, which are molecules that can damage skin cells and contribute to premature aging.

2. Collagen synthesis
Vitamin C plays a key role in collagen synthesis, a protein responsible for maintaining structure and elasticity of skin. Regular vitamin C application leads to more resilient skin - resulting in the decreased appearance of fine lines and wrinkles.

3. Brightens and evens out skin tone
Vitamin C helps to fade hyperpigmentation and even out skin tone. 

4. Protects against sun damage
While vitamin C is not a replacement for sunscreen, it does provide an additional layer of sun protection. 

5. Enhances skin's natural defense to environmental factors
Vitamin C helps to strengthen the skin's barrier function which protects from environmental pollutants and irritants, reducing inflammation.

6. Improves skin texture
By promoting collagen synthesis and shedding dead skin cells, vitamin C helps to improve skin texture. With continued use, Vitamin C can lead to smoother and softer skin.

7. Hydrates skin
Vitamin C has moisturizing properties that helps to increase hydration of skin. This results in skin that looks plumper and more radiant.


​From brightening the complexion to protecting against environmental damage, vitamin C serum is a must for any skincare regimen. 

P.S. I offer medical grade Vitamin C, along with an entire line of skincare products by SkinMedica, for sale at my office. Ask me about them at your next appointment. 

Sarah-Kate Rems, NP | NYC Cosmetic Dermatology
Instagram: @sarahkateremsnp
www.sarahkateremsnp.com

​One of the most popular aesthetic procedures right now is “Trap Tox” (aka “Barbie Tox”) - offering both aesthetic enhancements and relief from physical discomfort. If you're looking to address neck or shoulder pain or aiming for a sleeker, less masculine shoulder profile, Trap Tox provides an ideal solution. As a boutique / solo practice I’m always looking to offer the latest and proven treatments in cosmetic dermatology - so I’m super excited to introduce this innovative treatment option to my clients. 

What are the Benefits of Trap Tox?
Trap Tox offers several aesthetic and physical benefits, including:
- Refinement of shoulder appearance, achieving a slimmer, more feminine look
- Improved posture
- Elongation of the neck
- Alleviation of neck and shoulder pain and tension
- Reduction of headaches and muscle spasms
- Enhanced comfort during physical activities and exercise
- Swift, non-invasive procedure
- Minimal to no recovery downtime

How Does Trap Tox Work?
The power of Trap Tox lies in the neurotoxins (e.g. Botox), which contain botulinum toxin type A, a neuromodulator. Upon injection into the trapezius muscle, this neurotoxin temporarily disrupts communication between nerves and muscles, effectively inhibiting muscle contractions. This mechanism not only alleviates tension and discomfort but also induces gradual muscle atrophy, leading to a slenderizing effect on the shoulders and a visually elongated neck.

 What Should I Expect During the Procedure?
During your appointment, I will first evaluate your trapezius muscles and understand your desired results. The procedure itself lasts only 10-20 minutes, with minimal discomfort and no downtime. The number of Botox units administered will be tailored to the size and strength of your trapezius muscle, as well as your desired goals. 

What is the Recovery Time?
Typically, Trap Tox requires minimal recovery time, allowing you to resume your routine immediately. While strenuous exercise should be avoided for 24 hours post-treatment, and refrain from touching or rubbing the injection sites.

How Soon Will I See Results?
Results from Trap Tox typically manifest within two to four days, with full effects appearing within 10 to 14 days. The duration of results varies but typically lasts between four to six months. While side effects such as swelling, bruising, or soreness may occur, severe reactions are rare. 

What is the Cost?
Treatments start at $900. The total number of units are based on the size and strength of your trapezius muscles as well as your goals for the treatment. ​

​​With Trap Tox, you can embrace a rejuvenated appearance and newfound comfort. Schedule your free consultation or appointment with me today and take the first step towards a more confident, pain-free you! 

Sarah-Kate Rems, NP | NYC Cosmetic Dermatology
Instagram: @sarahkateremsnp
www.sarahkateremsnp.com
245 5th avenue, Suite 318
NY, NY 10016 ​

Postpartum hair loss, also known as telogen effluvium, is a common condition that affects many women after childbirth (including me). This temporary hair loss occurs due to hormonal changes during pregnancy and the subsequent adjustment period after giving birth. As estrogen levels drop, hair follicles enter a resting phase, leading to increased shedding and thinning of the hair. If you're struggling with hair loss after giving birth there is a highly effective, non-surgical, treatment option available to combat the problem: Platelet-Rich Plasma (PRP) treatment. I can personally attest to the effectiveness of this treatment in regrowing hair having experienced postpartum hair loss myself and seeing the incredible results from PRP treatment (see my results below).

The Process
PRP treatment involves a simple and safe process that begins with a small blood draw. The blood is then spun in a centrifuge to separate the platelets from the other components. These concentrated platelets, rich in growth factors (also referred to as "Liquid Gold"), are then injected into the scalp to stimulate hair growth. This innovative procedure harnesses the natural healing properties of platelets to promote hair follicle regeneration and strengthen existing hair. 

The Results
You may see visible results as early as 30 days after your first treatment. That said, it may take several sessions before significant improvement is noticed. I recommend starting with 3 treatments spaced out by 4 weeks. After the initial 3 sessions, the treatment frequency becomes more personalized, but I generally recommend to continue treatments every 4-6 months.

The Research
In addition to seeing the results directly on myself and clients, several studies have shown that PRP treatment can significantly improve hair density and thickness, providing visible results for individuals experiencing hair loss. According to one study published in the Journal of Cosmetic Dermatology, PRP treatment for hair loss has shown promising outcomes, with 70% of participants reporting a reduction in hair shedding and an overall improvement in hair volume after just three treatment sessions[^1^]. Another study published in the International Journal of Women's Dermatology found that PRP treatment resulted in a significant increase in hair count, hair thickness, and patient satisfaction[^2^]. These scientific findings highlight the effectiveness of PRP treatment as a viable solution for postpartum hair loss.

Take the first step
PRP therapy offers a non-surgical and highly effective solution for hair regrowth, density, and overall hair health. The risk of adverse reaction or complication is minimal, as PRP is extracted from your own blood. It is a relatively quick and straightforward procedure that can deliver life changing results. Book your free consultation today and take the first step towards reclaiming your full and healthy head of hair. My boutique cosmetic dermatology practice in Manhattan, New York, specializes in PRP treatments and I would love to help you.

Sarah-Kate Rems, NP | NYC Cosmetic Dermatology
Instagram: @sarahkateremsnp
www.sarahkateremsnp.com
245 5th avenue, Suite 318
NY, NY 10016 

Cited sources: [^1^]: Journal of Cosmetic Dermatology [^2^]: International Journal of Women's Dermatology

Acne scars can be a lifelong battle starting at a young age. These scars result from the skin's attempt to heal itself in an unorganized manner, unfortunately leaving behind raised tissue or depressions in the skin's surface.

In this post, I will discuss my 4-step approach to treating acne scars to achieve a smooth and even complexion:

1. SkinPen Microneedling

SkinPen is the MVP of microneedling. It was the first FDA approved microneedling device and specifically approved for treating acne scars - this means it has been clinically tested and verified to get you results! This treatment involves using tiny needles to make controlled punctures in the skin, stimulating the body's natural healing process. 

2. Adding PRP to SkinPen Microneedling

Adding Platelet Rich Plasma (PRP) as a serum to your microneedling treatment will take your results to the next level. PRP is a rich source of growth factors and proteins whose main function is tissue repair, regeneration, and remodeling. Microneedling PRP directly into skin greatly enhances the effects of microneedling and of PRP itself. 

3. PRP Injections

Injecting PRP directly into scars allows for a greater volume of PRP to be concentrated at the site of the scarring. A higher volume in these specific areas aids in regeneration and healing of this tissue.

4. Rx Tretinoin Cream

I prescribe Tretinoin cream to enhance your results, working its magic to shed old skin layers and reveal a smoother, more youthful appearance. Tretinoin isn't just for acne scars, it also prevents and treats acne, as well as other signs of aging such as sun damage, fine lines and wrinkles, and uneven skin tone and texture. 

In Conclusion

Combining SkinPen microneedling, PRP as a serum to microneedling, PRP injections, and a prescription for Tretinoin cream creates a powerful synergy that effectively targets and treats acne scars. You can start with just one of these options and get great results or we can make a plan to incorporate all of the above to maximize results.

Sarah-Kate Rems, NP
Medical Aesthetics

The Solution

The under eye area is one of the first places to show signs of aging and wear and tear, and is also one of the most difficult places to treat. Platelet Rich Plasma (PRP) offers a safe and effective solution for rejuvenating the under eye area - and it’s completely natural.

Benefits of PRP

Platelet Rich Plasma (PRP) is a concentrated sample of your own blood, packed with growth factors and essential proteins that boost collagen and elastin production and are directly involved with tissue healing and regeneration. It’s a completely natural treatment, virtually eliminating the risk of complication or adverse reaction.

Why PRP Is Great for the Under Eye Area

The effects of PRP smooth, hydrate, and plump aging skin, naturally leading to:

• Decreased hollows
• ​Decreased discoloration and dark circles
• Reduced fine lines and crepey skin

The PRP Treatment Process 

1. A small sample of your blood is drawn
2. The sample is spun in a centrifuge for 10 minutes, separating the platelets from the rest of the blood
3. The concentrated PRP is extracted and prepared for injection
4. A fine needle is used to gently and precisely deliver the PRP

What to Expect After Your Treatment

Directly after your treatment, you can expect some temporary effects:

• Redness
• Slight bruising
• Swelling

These effects generally subside within a few hours up to 72 hours. While you may notice some positive results after a week, full results can take 3-6 months. For optimal results, I recommend a series of 3 treatments spaced out by 4-6 weeks. After this, PRP injections become a maintenance procedure, 1-2 times a year.

Book Your Appointment

Book your appointment today! If you have questions or want to learn more, start with a complimentary consultation.


Sarah-Kate Rems, NP
Medical Aesthetics

Microneedling with PRP, often referred to as the trademarked name, "Vampire Facial," first gained attention from its association with celebrities like the Kardashians who publicly endorsed its transformative effects. This procedure involves two powerful components: microneedling and Platelet-Rich-Plasma (PRP), both of which are majorly effective for skin rejuvenation. Let's take a closer look at how these two techniques work together to unveil you skin's natural radiance.

Microneedling
Microneedling is a procedure that involves using a specialized device (I use SkinPen, the first FDA cleared microneedling device) which has several needles to create controlled micro-injuries on the skin's surface. These micro-injuries induce the body's natural wound healing process. This process triggers the production of collagen and elastin, two key proteins of the skin responsible for maintaining skin firmness, smoothness, and elasticity. 

As we age, the production of collagen and elastin diminishes, leading to wrinkles, uneven skin tone and texture, and sagging skin. Microneedling addresses these age-related concerns by coaxing the skin to regenerate and repair itself, resulting in a more revitalized appearance. 

Read more about microneedling here.

Platelet-Rich-Plasma (PRP)
PRP, derived from your own blood, is a potent component that contains growth factors and specialized proteins that are instrumental in tissue repair and cell growth. When applied or injected into the skin, PRP stimulates the production of collagen and elastin, while also expediting regeneration of tissue, cell proliferation, and healing.

Read more about PRP here.

Microneedling + PRP - The Perfect Pair
Microneedling with PRP takes the benefits of either on its own to the next level. This synergy yields a more robust production of collagen and elastin, accelerates tissue regeneration and cell growth, shortens healing time, and ultimately delivers superior results compared to either treatment on its own. 

Benefits of Microneedling with PRP:

1. Collagen Stimulation
The procedures increases collagen production, restoring skins youthful radiance.

2. Reduced Lines and Wrinkles
The appearance of fine lines and wrinkles diminishes, giving way to smoother looking skin.

3. Improved Skin Tone and Texture
Hyperpigmentation and irregular skin texture are visibly diminished, promoting an even complexion.

4, Firmer Skin
The combined effects of collagen and elastin boost skin firmness and elasticity, reducing sagging and restoring a more contoured appearance.

In Summary...

Microneedling with PRP is a dynamic duo that works together to rejuvenate the skin. As we age, our skin's natural regeneration processes slow down, leading to visible signs of aging. Microneedling with PRP boosts your body's innate healing abilities revealing a rejuvenated, radiant complexion. 

​Sarah-Kate Rems, NP
​Medical Aesthetics

Platelet-Rich Plasma (PRP) therapy is a non-invasive and effective hair restoration treatment for both men and women. It involves utilizing your blood's own growth factors to stimulate hair regrowth, enhance hair density, and prevent hair loss. This articles explores how PRP works for hair restoration, what to expect during the procedure, and why it is an effective treatment for hair loss and prevention.

How PRP Works for Hair Restoration

PRP is rich in growth factors, which promote formation of new blood vessels, induce collagen production, and stimulate cell proliferation. These effects collectively improve the overall health and vitality of hair follicles leading to thicker, fuller hair. Lets break this down further:

1. Regrows hair. PRP activates dormant hair follicles, promoting them to enter an active growth stage, leading to hair regrowth.

2. Increases density of existing hair follicles. The growth factors in PRP promote an increase in thickness of existing hair strands, leading to greater volume. 

3. Prevents Hair Loss. PRP combats hair thinning and loss overtime by improving the health of the individual hair follicles. 

What to Expect at Your Appointment

The process of PRP for hair restoration can be broken down into 4 simple steps:

1. Blood sample. A small sample of blood is taken from your arm.

2. Centrifugation. The sample of blood is spun in a centrifuge for 10 minutes. The centrifuge separates the platelet-rich plasma from the other blood components. 

3. Separation of PRP. Once the centrifugation process is complete, the platelet-rich plasma is extracted and drawn into syringes.

4. Injection. The PRP is skillfully and carefully injected into areas of the scalp experiencing thinning or hair loss. 

How Many Treatments Will I Need?

I recommend starting with 3 treatments spaced out by 4 weeks. After the initial 3 sessions, the treatment frequency becomes more personalized, but I generally  recommend to continue treatments every 4-6 months.

When Will I See Results?

Results may become visible as soon as 30 days after your first treatment. That said, it may take several sessions before significant improvement is noticed.

Summary

PRP therapy offers a non-surgical and highly effective solution for hair regrowth, density, and overall hair health. The risk of adverse reaction or complication is minimal, as PRP is extracted from your own blood. It is a relatively quick and straightforward procedure that can deliver life changing results, and is a treatment I recommend for both men and women dealing with mild to moderate hair thinning. 

Sarah-Kate Rems, NP
​Medical Aesthetics